DR. SHANTANU BISHWAL (NPI# 1942400759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942400759 |
| Entity Type | Individual |
| Full Name | DR. SHANTANU BISHWAL |
| Credential | MD |
| Practice Address |
675 Baltimore Dr Wilkes Barre PA 18702-7900 |
| Practice Telephone | 5708086111 |
| Practice Fax Number | 5708086348 |
| Mailing Telephone | 5708086111 |
| Mailing Fax Number | 5708086348 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD436784 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
675 BALTIMORE DR |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539215 | Leighton Huey | Psychiatry & Neurology | 675 Baltimore Dr, Wilkes Barre, PA 18702 | 2005-06-23 |
| 1427694355 | Yardley Marie Phillips | Surgery | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2019-11-26 |
| 1487209599 | Swana Thomas | Pharmacist | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2019-08-06 |
| 1306313069 | Madysen Kacey Jones | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2018-10-30 |
| 1447746631 | Danielle Marie Scartelli | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702 | 2018-07-10 |
| 1659882603 | Amanda Katherine Keegan | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2017-10-17 |
| 1720598691 | Renae Ann Keiper | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2017-10-05 |
| 1225498132 | Brittany Williams | Psychologist | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2016-03-04 |
| 1003234865 | Jui Pandya | Ophthalmology | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2014-03-30 |
| 1013343805 | Channing Elizabeth Boback | Physician Assistant | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2013-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508393 | Rheumatology & Arthritis Center of Wyoming Valley LLC | Internal Medicine | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2020-08-10 |
| 1316238298 | Gnanesh R Patel | Internal Medicine | 150 Mundy St, Arthritis Center of Nepa, Wilkes Barre, PA 18702-6830 | 2011-04-26 |
| 1881912236 | Birju Bhatt | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2010-05-10 |
| 1689736894 | Victor A Labbate | Internal Medicine | 150 Mundy Street, Mac II Bldg, Wilkes Barre, PA 18702 | 2006-12-14 |
| 1104988310 | Zahid Husain | Internal Medicine | 150 Mundy Street, Mac II Bldg, Wilkes Barre, PA 18702 | 2006-12-14 |
| 1598827792 | Martin D Blidner | Internal Medicine | 150 Mundy Street, Mac II Bldg, Wilkes Barre, PA 18702 | 2006-12-14 |
| 1396818597 | Arthritis Center of Ne Pa Inc | Internal Medicine | 150 Mundy Street, Mac II Bldg, Wilkes Barre, PA 18702 | 2006-11-16 |
| 1760434153 | Geisinger Clinic | Internal Medicine | 1000 E Mountain Dr, Wilkes Barre, PA 18711 | 2006-05-16 |
| 1215993613 | Brian A. Delvecchio | Internal Medicine | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2006-04-25 |
| 1548225543 | David M. Pugliese | Internal Medicine | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2006-04-20 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.